ES2255103T3 - OSMOTIC DOSE ADMINISTRATION SYSTEM IN SOLUBLE FORM. - Google Patents
OSMOTIC DOSE ADMINISTRATION SYSTEM IN SOLUBLE FORM.Info
- Publication number
- ES2255103T3 ES2255103T3 ES97912802T ES97912802T ES2255103T3 ES 2255103 T3 ES2255103 T3 ES 2255103T3 ES 97912802 T ES97912802 T ES 97912802T ES 97912802 T ES97912802 T ES 97912802T ES 2255103 T3 ES2255103 T3 ES 2255103T3
- Authority
- ES
- Spain
- Prior art keywords
- agent
- pharmaceutical
- administration system
- pharmaceutical administration
- agents
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 230000003204 osmotic effect Effects 0.000 title claims abstract description 19
- 239000000203 mixture Substances 0.000 claims abstract description 59
- 239000003795 chemical substances by application Substances 0.000 claims abstract description 54
- 239000002904 solvent Substances 0.000 claims abstract description 21
- 239000008177 pharmaceutical agent Substances 0.000 claims abstract description 17
- 230000008961 swelling Effects 0.000 claims abstract description 7
- 239000002357 osmotic agent Substances 0.000 claims abstract description 5
- HYIMSNHJOBLJNT-UHFFFAOYSA-N nifedipine Chemical group COC(=O)C1=C(C)NC(C)=C(C(=O)OC)C1C1=CC=CC=C1[N+]([O-])=O HYIMSNHJOBLJNT-UHFFFAOYSA-N 0.000 claims description 52
- 229960001597 nifedipine Drugs 0.000 claims description 36
- DOOTYTYQINUNNV-UHFFFAOYSA-N Triethyl citrate Chemical compound CCOC(=O)CC(O)(C(=O)OCC)CC(=O)OCC DOOTYTYQINUNNV-UHFFFAOYSA-N 0.000 claims description 12
- 239000000314 lubricant Substances 0.000 claims description 12
- 229920000036 polyvinylpyrrolidone Polymers 0.000 claims description 11
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 claims description 11
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 claims description 10
- 230000000694 effects Effects 0.000 claims description 10
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 claims description 9
- 239000000600 sorbitol Substances 0.000 claims description 9
- -1 antihypertensors Substances 0.000 claims description 8
- 239000001267 polyvinylpyrrolidone Substances 0.000 claims description 8
- 235000019333 sodium laurylsulphate Nutrition 0.000 claims description 8
- 235000000346 sugar Nutrition 0.000 claims description 8
- TVXBFESIOXBWNM-UHFFFAOYSA-N Xylitol Natural products OCCC(O)C(O)C(O)CCO TVXBFESIOXBWNM-UHFFFAOYSA-N 0.000 claims description 7
- HEBKCHPVOIAQTA-UHFFFAOYSA-N meso ribitol Natural products OCC(O)C(O)C(O)CO HEBKCHPVOIAQTA-UHFFFAOYSA-N 0.000 claims description 7
- 239000000811 xylitol Substances 0.000 claims description 7
- 235000010447 xylitol Nutrition 0.000 claims description 7
- HEBKCHPVOIAQTA-SCDXWVJYSA-N xylitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)CO HEBKCHPVOIAQTA-SCDXWVJYSA-N 0.000 claims description 7
- 229960002675 xylitol Drugs 0.000 claims description 7
- 239000003945 anionic surfactant Substances 0.000 claims description 6
- IUBSYMUCCVWXPE-UHFFFAOYSA-N metoprolol Chemical compound COCCC1=CC=C(OCC(O)CNC(C)C)C=C1 IUBSYMUCCVWXPE-UHFFFAOYSA-N 0.000 claims description 6
- 239000004094 surface-active agent Substances 0.000 claims description 6
- SGTNSNPWRIOYBX-UHFFFAOYSA-N 2-(3,4-dimethoxyphenyl)-5-{[2-(3,4-dimethoxyphenyl)ethyl](methyl)amino}-2-(propan-2-yl)pentanenitrile Chemical compound C1=C(OC)C(OC)=CC=C1CCN(C)CCCC(C#N)(C(C)C)C1=CC=C(OC)C(OC)=C1 SGTNSNPWRIOYBX-UHFFFAOYSA-N 0.000 claims description 4
- DKNWSYNQZKUICI-UHFFFAOYSA-N amantadine Chemical compound C1C(C2)CC3CC2CC1(N)C3 DKNWSYNQZKUICI-UHFFFAOYSA-N 0.000 claims description 4
- 229960003805 amantadine Drugs 0.000 claims description 4
- OROGSEYTTFOCAN-DNJOTXNNSA-N codeine Chemical compound C([C@H]1[C@H](N(CC[C@@]112)C)C3)=C[C@H](O)[C@@H]1OC1=C2C3=CC=C1OC OROGSEYTTFOCAN-DNJOTXNNSA-N 0.000 claims description 4
- 239000008139 complexing agent Substances 0.000 claims description 4
- 229960002237 metoprolol Drugs 0.000 claims description 4
- 239000000693 micelle Substances 0.000 claims description 4
- ZJAOAACCNHFJAH-UHFFFAOYSA-N phosphonoformic acid Chemical compound OC(=O)P(O)(O)=O ZJAOAACCNHFJAH-UHFFFAOYSA-N 0.000 claims description 4
- 229920000642 polymer Polymers 0.000 claims description 4
- 229960001722 verapamil Drugs 0.000 claims description 4
- SUBDBMMJDZJVOS-UHFFFAOYSA-N 5-methoxy-2-{[(4-methoxy-3,5-dimethylpyridin-2-yl)methyl]sulfinyl}-1H-benzimidazole Chemical compound N=1C2=CC(OC)=CC=C2NC=1S(=O)CC1=NC=C(C)C(OC)=C1C SUBDBMMJDZJVOS-UHFFFAOYSA-N 0.000 claims description 3
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 claims description 3
- FFGPTBGBLSHEPO-UHFFFAOYSA-N carbamazepine Chemical compound C1=CC2=CC=CC=C2N(C(=O)N)C2=CC=CC=C21 FFGPTBGBLSHEPO-UHFFFAOYSA-N 0.000 claims description 3
- 229960000623 carbamazepine Drugs 0.000 claims description 3
- 229920002301 cellulose acetate Polymers 0.000 claims description 3
- 229960001380 cimetidine Drugs 0.000 claims description 3
- CCGSUNCLSOWKJO-UHFFFAOYSA-N cimetidine Chemical compound N#CNC(=N/C)\NCCSCC1=NC=N[C]1C CCGSUNCLSOWKJO-UHFFFAOYSA-N 0.000 claims description 3
- 150000001860 citric acid derivatives Chemical class 0.000 claims description 3
- ZJJXGWJIGJFDTL-UHFFFAOYSA-N glipizide Chemical compound C1=NC(C)=CN=C1C(=O)NCCC1=CC=C(S(=O)(=O)NC(=O)NC2CCCCC2)C=C1 ZJJXGWJIGJFDTL-UHFFFAOYSA-N 0.000 claims description 3
- 229960001381 glipizide Drugs 0.000 claims description 3
- 229960000381 omeprazole Drugs 0.000 claims description 3
- 239000010703 silicon Substances 0.000 claims description 3
- 229910052710 silicon Inorganic materials 0.000 claims description 3
- HMJIYCCIJYRONP-UHFFFAOYSA-N (+-)-Isradipine Chemical compound COC(=O)C1=C(C)NC(C)=C(C(=O)OC(C)C)C1C1=CC=CC2=NON=C12 HMJIYCCIJYRONP-UHFFFAOYSA-N 0.000 claims description 2
- IVTMXOXVAHXCHI-YXLMWLKOSA-N (2s)-2-amino-3-(3,4-dihydroxyphenyl)propanoic acid;(2s)-3-(3,4-dihydroxyphenyl)-2-hydrazinyl-2-methylpropanoic acid Chemical compound OC(=O)[C@@H](N)CC1=CC=C(O)C(O)=C1.NN[C@@](C(O)=O)(C)CC1=CC=C(O)C(O)=C1 IVTMXOXVAHXCHI-YXLMWLKOSA-N 0.000 claims description 2
- YQSHYGCCYVPRDI-UHFFFAOYSA-N (4-propan-2-ylphenyl)methanamine Chemical compound CC(C)C1=CC=C(CN)C=C1 YQSHYGCCYVPRDI-UHFFFAOYSA-N 0.000 claims description 2
- UBCHPRBFMUDMNC-UHFFFAOYSA-N 1-(1-adamantyl)ethanamine Chemical compound C1C(C2)CC3CC2CC1(C(N)C)C3 UBCHPRBFMUDMNC-UHFFFAOYSA-N 0.000 claims description 2
- UVOIBTBFPOZKGP-CQSZACIVSA-N 1-[10-[(2r)-2-(dimethylamino)propyl]phenothiazin-2-yl]propan-1-one Chemical compound C1=CC=C2N(C[C@@H](C)N(C)C)C3=CC(C(=O)CC)=CC=C3SC2=C1 UVOIBTBFPOZKGP-CQSZACIVSA-N 0.000 claims description 2
- UIAGMCDKSXEBJQ-IBGZPJMESA-N 3-o-(2-methoxyethyl) 5-o-propan-2-yl (4s)-2,6-dimethyl-4-(3-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylate Chemical compound COCCOC(=O)C1=C(C)NC(C)=C(C(=O)OC(C)C)[C@H]1C1=CC=CC([N+]([O-])=O)=C1 UIAGMCDKSXEBJQ-IBGZPJMESA-N 0.000 claims description 2
- RZTAMFZIAATZDJ-HNNXBMFYSA-N 5-o-ethyl 3-o-methyl (4s)-4-(2,3-dichlorophenyl)-2,6-dimethyl-1,4-dihydropyridine-3,5-dicarboxylate Chemical compound CCOC(=O)C1=C(C)NC(C)=C(C(=O)OC)[C@@H]1C1=CC=CC(Cl)=C1Cl RZTAMFZIAATZDJ-HNNXBMFYSA-N 0.000 claims description 2
- BXZVVICBKDXVGW-NKWVEPMBSA-N Didanosine Chemical compound O1[C@H](CO)CC[C@@H]1N1C(NC=NC2=O)=C2N=C1 BXZVVICBKDXVGW-NKWVEPMBSA-N 0.000 claims description 2
- 108010061435 Enalapril Proteins 0.000 claims description 2
- 102000006992 Interferon-alpha Human genes 0.000 claims description 2
- 108010047761 Interferon-alpha Proteins 0.000 claims description 2
- ZBBHBTPTTSWHBA-UHFFFAOYSA-N Nicardipine Chemical compound COC(=O)C1=C(C)NC(C)=C(C(=O)OCCN(C)CC=2C=CC=CC=2)C1C1=CC=CC([N+]([O-])=O)=C1 ZBBHBTPTTSWHBA-UHFFFAOYSA-N 0.000 claims description 2
- CXOFVDLJLONNDW-UHFFFAOYSA-N Phenytoin Chemical compound N1C(=O)NC(=O)C1(C=1C=CC=CC=1)C1=CC=CC=C1 CXOFVDLJLONNDW-UHFFFAOYSA-N 0.000 claims description 2
- 241000241413 Propolis Species 0.000 claims description 2
- IWUCXVSUMQZMFG-AFCXAGJDSA-N Ribavirin Chemical compound N1=C(C(=O)N)N=CN1[C@H]1[C@H](O)[C@H](O)[C@@H](CO)O1 IWUCXVSUMQZMFG-AFCXAGJDSA-N 0.000 claims description 2
- XNKLLVCARDGLGL-JGVFFNPUSA-N Stavudine Chemical compound O=C1NC(=O)C(C)=CN1[C@H]1C=C[C@@H](CO)O1 XNKLLVCARDGLGL-JGVFFNPUSA-N 0.000 claims description 2
- GUGOEEXESWIERI-UHFFFAOYSA-N Terfenadine Chemical compound C1=CC(C(C)(C)C)=CC=C1C(O)CCCN1CCC(C(O)(C=2C=CC=CC=2)C=2C=CC=CC=2)CC1 GUGOEEXESWIERI-UHFFFAOYSA-N 0.000 claims description 2
- WREGKURFCTUGRC-POYBYMJQSA-N Zalcitabine Chemical compound O=C1N=C(N)C=CN1[C@@H]1O[C@H](CO)CC1 WREGKURFCTUGRC-POYBYMJQSA-N 0.000 claims description 2
- 229960004150 aciclovir Drugs 0.000 claims description 2
- MKUXAQIIEYXACX-UHFFFAOYSA-N aciclovir Chemical compound N1C(N)=NC(=O)C2=C1N(COCCO)C=N2 MKUXAQIIEYXACX-UHFFFAOYSA-N 0.000 claims description 2
- 229960000528 amlodipine Drugs 0.000 claims description 2
- HTIQEAQVCYTUBX-UHFFFAOYSA-N amlodipine Chemical compound CCOC(=O)C1=C(COCCN)NC(C)=C(C(=O)OC)C1C1=CC=CC=C1Cl HTIQEAQVCYTUBX-UHFFFAOYSA-N 0.000 claims description 2
- 230000000954 anitussive effect Effects 0.000 claims description 2
- 230000003178 anti-diabetic effect Effects 0.000 claims description 2
- 229940125715 antihistaminic agent Drugs 0.000 claims description 2
- 239000000739 antihistaminic agent Substances 0.000 claims description 2
- 239000003434 antitussive agent Substances 0.000 claims description 2
- 229940124584 antitussives Drugs 0.000 claims description 2
- 239000003443 antiviral agent Substances 0.000 claims description 2
- GXDALQBWZGODGZ-UHFFFAOYSA-N astemizole Chemical compound C1=CC(OC)=CC=C1CCN1CCC(NC=2N(C3=CC=CC=C3N=2)CC=2C=CC(F)=CC=2)CC1 GXDALQBWZGODGZ-UHFFFAOYSA-N 0.000 claims description 2
- OZVBMTJYIDMWIL-AYFBDAFISA-N bromocriptine Chemical compound C1=CC(C=2[C@H](N(C)C[C@@H](C=2)C(=O)N[C@]2(C(=O)N3[C@H](C(N4CCC[C@H]4[C@]3(O)O2)=O)CC(C)C)C(C)C)C2)=C3C2=C(Br)NC3=C1 OZVBMTJYIDMWIL-AYFBDAFISA-N 0.000 claims description 2
- 229960002802 bromocriptine Drugs 0.000 claims description 2
- 229960003108 brompheniramine maleate Drugs 0.000 claims description 2
- SRGKFVAASLQVBO-BTJKTKAUSA-N brompheniramine maleate Chemical compound OC(=O)\C=C/C(O)=O.C=1C=CC=NC=1C(CCN(C)C)C1=CC=C(Br)C=C1 SRGKFVAASLQVBO-BTJKTKAUSA-N 0.000 claims description 2
- 229940052036 carbidopa / levodopa Drugs 0.000 claims description 2
- 229960004126 codeine Drugs 0.000 claims description 2
- 238000010668 complexation reaction Methods 0.000 claims description 2
- KWGRBVOPPLSCSI-UHFFFAOYSA-N d-ephedrine Natural products CNC(C)C(O)C1=CC=CC=C1 KWGRBVOPPLSCSI-UHFFFAOYSA-N 0.000 claims description 2
- 239000000850 decongestant Substances 0.000 claims description 2
- 229940124581 decongestants Drugs 0.000 claims description 2
- 229960003782 dextromethorphan hydrobromide Drugs 0.000 claims description 2
- 229960001193 diclofenac sodium Drugs 0.000 claims description 2
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- HSUGRBWQSSZJOP-RTWAWAEBSA-N diltiazem Chemical compound C1=CC(OC)=CC=C1[C@H]1[C@@H](OC(C)=O)C(=O)N(CCN(C)C)C2=CC=CC=C2S1 HSUGRBWQSSZJOP-RTWAWAEBSA-N 0.000 claims description 2
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- XUFQPHANEAPEMJ-UHFFFAOYSA-N famotidine Chemical compound NC(N)=NC1=NC(CSCCC(N)=NS(N)(=O)=O)=CS1 XUFQPHANEAPEMJ-UHFFFAOYSA-N 0.000 claims description 2
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- OROGSEYTTFOCAN-UHFFFAOYSA-N hydrocodone Natural products C1C(N(CCC234)C)C2C=CC(O)C3OC2=C4C1=CC=C2OC OROGSEYTTFOCAN-UHFFFAOYSA-N 0.000 claims description 2
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- 229960004427 isradipine Drugs 0.000 claims description 2
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- SONNWYBIRXJNDC-VIFPVBQESA-N phenylephrine Chemical compound CNC[C@H](O)C1=CC=CC(O)=C1 SONNWYBIRXJNDC-VIFPVBQESA-N 0.000 claims description 2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0002—Galenical forms characterised by the drug release technique; Application systems commanded by energy
- A61K9/0004—Osmotic delivery systems; Sustained release driven by osmosis, thermal energy or gas
Landscapes
- Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Animal Behavior & Ethology (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Bioinformatics & Cheminformatics (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Medicinal Preparation (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- External Artificial Organs (AREA)
Abstract
Description
Sistema osmótico de administración de dosis en forma soluble.Osmotic dose administration system in soluble form.
La presente invención se refiere al campo de los sistemas osmóticos de administración de dosis farmacéutica y de las preparaciones, particularmente preparaciones que pueden administrarse por vía oral.The present invention relates to the field of osmotic systems for pharmaceutical dose administration and preparations, particularly preparations that can administered orally
La patente de los EE.UU. Nº 3.916.899, de Theeuwes et al., describe una preparación de administración de fármaco de la que se dice que libera el agente farmacéutico a través de aberturas en la pared del comprimido o cápsula mediante el diferencial de presión osmótica que se establece entre la concentración del agente farmacéutico en el interior del comprimido o cápsula y el medio fluido exterior del paciente cuando el medicamento se toma por vía oral. Véase, también, la patente de los EE.UU. Nº 3.845.770, de Theeuwes et al., que describe otra preparación para administración por diferencial de presión osmótica de un agente farmacéutico. En este tipo original de enfoque, el interior del comprimido tenía un núcleo hidrófobo rodeado por una capa hidrófila dentro de la pared del comprimido. Como tal, el agua que entraba al comprimido permanecía en la capa hidrófila y por tanto, en realidad, se liberaba muy poca cantidad de fármaco.U.S. Pat. No. 3,916,899, of Theeuwes et al ., Describes a drug administration preparation that is said to release the pharmaceutical agent through openings in the wall of the tablet or capsule by means of the osmotic pressure differential that is established between the concentration of the pharmaceutical agent inside the tablet or capsule and the patient's external fluid medium when the medication is taken orally. See, also, US Pat. No. 3,845,770, from Theeuwes et al ., Which describes another preparation for administration by osmotic pressure differential of a pharmaceutical agent. In this original type of approach, the inside of the tablet had a hydrophobic core surrounded by a hydrophilic layer within the tablet wall. As such, the water entering the tablet remained in the hydrophilic layer and therefore, in reality, very little drug was released.
Se ha creído que este enfoque no administró el agente farmacéutico tan completa o eficazmente como se había creído previamente. Por tanto, se desarrolló un enfoque diferente para liberar el agente farmacéutico. En este enfoque, el interior del comprimido o cápsula es característicamente de dos capas, una que contiene el agente farmacéutico (que va a liberarse de nuevo a través de las aberturas en la pared del comprimido o cápsula) y siendo la otra una capa de material que se hincha al entrar en contacto con agua. Estos materiales que se hinchan o expanden hasta un estado de equilibrio cuando se exponen al agua u otros fluidos biológicos se denominan "osmopolímeros". Se utiliza esta expansión de volumen para forzar físicamente la salida del agente farmacéutico a través de las aberturas que se han formado en la pared, la vaina o el recubrimiento durante la fabricación. El agente farmacéutico se libera principalmente como partículas insolubles, que por tanto tienen biodisponibilidad limitada. Esto se ha llamado comúnmente el enfoque de "empujar y tirar". Véanse, por ejemplo las patentes de los EE.UU. Nº 5.422.123; 4.783.337; 4.765.989; 4.612.008; y 4.327.725. La bibliografía de patentes ha demostrado que este enfoque fue necesario para administrar las dosis adecuadas, a velocidades controladas y durante tiempos prolongados, de una gran variedad de fármacos. También se han descrito otros "sistemas osmóticos de administración". Véanse, por ejemplo, las patentes de los EE.UU. Nº4.609.374; 4.036.228; 4.992.278; 4.160.020; y 4.615.698. Los osmopolímeros en estos tipos de sistemas son componentes cuyas funciones son hincharse cuando interactúan con agua y fluidos acuosos. Este efecto de hinchamiento se define en estas patentes como una propiedad de embeber fluido de manera que se expande hasta un grado muy elevado, mostrando normalmente un aumento de volumen de 2 a 50 veces.It has been believed that this approach did not administer the pharmaceutical agent as completely or effectively as previously believed previously. Therefore, a different approach was developed to release the pharmaceutical agent. In this approach, the interior of the tablet or capsule is characteristically two layers, one that contains the pharmaceutical agent (which will be released back to through the openings in the wall of the tablet or capsule) and the other being a layer of material that swells when entering contact with water. These materials that swell or expand to a steady state when exposed to water or other fluids Biological are called "osmopolymers." This is used volume expansion to physically force agent exit pharmacist through the openings that have formed in the wall, sheath or coating during manufacturing. The agent Pharmaceutical is mainly released as insoluble particles, which therefore have limited bioavailability. This has been called commonly the "push and pull" approach. See for example U.S. patents No. 5,422,123; 4,783,337; 4,765,989; 4,612,008; and 4,327,725. Patent literature has shown that this approach was necessary to administer the appropriate doses, at controlled speeds and for prolonged times, of great variety of drugs Other "systems have also been described. osmotic administration. "See, for example, patents from the USA No. 4,609,374; 4,036,228; 4,992,278; 4,160,020; Y 4,615,698. The osmopolymers in these types of systems are components whose functions are to swell when they interact with water and aqueous fluids. This swelling effect is defined in these patents as a property of embedding fluid so that it expands to a very high degree, usually showing a volume increase from 2 to 50 times.
Llegando a la presente invención, se ha descubierto que es posible administrar eficazmente dosis terapéuticamente eficaces, a velocidades controladas y durante períodos prolongados de tiempo, de una gran variedad de fármacos sin la necesidad de polímeros que se hinchen o expandan dentro de la pared del comprimido de manera que fuercen físicamente la salida de las partículas de medicamento hacia el entorno de uso deseado. Tal como se utiliza en el presente documento, el término "hinchar", es decir, la propiedad que la presente invención ha podido evitar, se utiliza de manera que tiene la misma definición que en las patentes descritas anteriormente. Además, la invención hace posible el administrar agentes que tienen una solubilidad acuosa limitada. La presente invención proporciona un sistema osmótico de administración farmacéutica conforme a la reivindicación 1.Arriving at the present invention, it has been discovered that it is possible to effectively administer doses therapeutically effective, at controlled rates and during prolonged periods of time, of a wide variety of drugs without the need for polymers that swell or expand within the tablet wall so as to physically force the exit of the drug particles towards the desired use environment. Such as used herein, the term "bloat", that is, the property that the present invention has been able to avoid, it is used in a way that has the same definition as in the patents described above. In addition, the invention makes possible administering agents that have limited aqueous solubility. The present invention provides an osmotic system of Pharmaceutical administration according to claim 1.
Según la invención preferida, se proporciona un sistema osmótico de administración, preferiblemente en la forma de un comprimido, que dispensa un agente terapéutico que tiene una solubilidad en agua limitada o entornos fisiológicos sin el uso de osmopolímeros o agentes hinchables para administrar los agentes terapéuticos. Además según la presente invención, se incorpora el agente terapéutico en una composición que puede solubilizar el agente terapéutico mediante la cual se administra el agente terapéutico en una forma predominantemente solubilizada.According to the preferred invention, a osmotic system of administration, preferably in the form of a tablet, which dispenses a therapeutic agent that has a Limited water solubility or physiological environments without the use of osmopolymers or inflatable agents to administer the agents therapeutic In addition according to the present invention, the therapeutic agent in a composition that can solubilize the therapeutic agent by which the agent is administered therapeutic in a predominantly solubilized form.
En una realización preferida, la invención ha combinado agentes solubilizantes apropiados y, por toda la composición que contiene el (los) agente(s) solubilizante(s) y el (los) farmacéutico(s), un agente "de efecto mecha" ("wicking") que proporciona canales de flujo aumentado para el agente farmacéutico que se ha convertido predominantemente en su forma solubilizada mediante el (los) agente(s) solubilizante(s), mientras está todavía dentro del comprimido o cápsula. Por tanto, se administra el fármaco a través de pasajes en la pared de recubrimiento mediante ósmosis verdadera predominantemente en su forma solubilizada, más que mediante fuerza física sobre una forma particulada.In a preferred embodiment, the invention has combined appropriate solubilizing agents and, throughout the composition containing the agent (s) solubilizer (s) and the pharmaceutical (s), an agent "wick" effect that provides channels of increased flow for the pharmaceutical agent that has become predominantly in its solubilized form by means of the solubilizing agent (s), while still inside the tablet or capsule. Therefore, the drug is administered through passages in the covering wall by osmosis true predominantly in its solubilized form, more than by physical force on a particulate form.
Por consiguiente, en un aspecto, la invención proporciona un sistema osmótico de administración farmacéutica que comprende (a) una pared semipermeable que mantiene su integridad durante la administración farmacéutica y que tiene al menos un pasaje a través de la misma; (b) una única composición homogénea dentro de dicha pared, composición que contiene (i) un agente farmacéuticamente activo, (ii) al menos un agente solubilizante no hinchable que aumenta la solubilidad del agente farmacéuticamente activo, (iii) al menos un agente osmótico no hinchable y (iv) un agente de efecto mecha no hinchable disperso por toda la composición que aumenta el contacto del área superficial del agente farmacéutico con el fluido acuoso entrante. Por tanto, el agente farmacéutico se libera en una forma predominantemente soluble.Therefore, in one aspect, the invention provides an osmotic pharmaceutical administration system that comprises (a) a semipermeable wall that maintains its integrity during pharmaceutical administration and you have at least one passage through it; (b) a single homogeneous composition within said wall, composition containing (i) an agent pharmaceutically active, (ii) at least one non-solubilizing agent inflatable that increases the solubility of the agent pharmaceutically active, (iii) at least one non-inflatable osmotic agent and (iv) a non-inflatable wick effect agent dispersed throughout the composition which increases the contact of the surface area of the agent Pharmacist with the incoming aqueous fluid. Therefore the agent Pharmaceutical is released in a predominantly soluble form.
Agentes solubilizantes no hinchables preferidos incluyen (i) agentes que inhiben la formación cristalina del producto farmacéutico o si no que actúan mediante complejación con el mismo; (ii) un tensioactivo formador de micelas de HLB (balance hidrófilo-lipófilo) elevado, particularmente tensioactivos no iónicos y/o aniónicos; (iii) ésteres de citrato; y combinaciones de los mismos, particularmente combinaciones de agentes de complejación con tensioactivos aniónicos. Agentes osmóticos no hinchables preferidos incluyen azúcares con diez o menos anillos, preferiblemente cinco o menos anillos y más preferiblemente dos anillos. Ejemplos incluyen fructosa, lactosa, xilitol, y sorbitol. Agentes de efecto mecha preferidos incluyen dióxido de silicio coloidal y polivinilpirrolidona y laurilsulfato sódico también pueden funcionar como agentes de efecto mecha.Preferred non-swelling solubilizing agents include (i) agents that inhibit the crystalline formation of pharmaceutical product or else they act by complexing with the same; (ii) an HLB micelle forming surfactant (balance hydrophilic-lipophilic) elevated, particularly nonionic and / or anionic surfactants; (iii) citrate esters; Y combinations thereof, particularly combinations of complexing agents with anionic surfactants. Agents Preferred non-inflatable osmotic include sugars with ten or less rings, preferably five or less rings and more preferably two rings. Examples include fructose, lactose, xylitol, and sorbitol. Preferred wicking agents include colloidal silicon dioxide and polyvinylpyrrolidone and lauryl sulfate Sodium can also function as wicking agents.
Ahora la invención se describirá adicionalmente mediante referencia a una breve descripción de cada uno de los dibujos adjuntos. La breve descripción y los dibujos no son en ningún modo una limitación de la invención.Now the invention will be further described. by reference to a brief description of each of the attached drawings. The brief description and drawings are not in in no way a limitation of the invention.
La figura 1A ilustra esquemáticamente el sistema osmótico de administración de dosis elemental de la técnica anterior.Figure 1A schematically illustrates the system osmotic technique of elementary dose administration previous.
La figura 1B ilustra esquemáticamente el sistema osmótico de administración de dosis de la técnica anterior.Figure 1B schematically illustrates the system Osmotic dose administration of the prior art.
La figura 2 ilustra esquemáticamente el sistema osmótico de administración de dosis de la presente invención.Figure 2 schematically illustrates the system Osmotic dose administration of the present invention.
La figura 3 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas farmacéuticas de la invención que contienen las formulaciones 1G (30 mg); 1C (30 mg); tal como se muestra en la tabla 1 en comparación con Procardia XL® (Pfizer, Inc.; 30 mg).Figure 3 schematically shows both percent of nifedipine released by pharmaceutical forms of the invention containing the 1G formulations (30 mg); 1C (30 mg); as shown in table 1 compared to Procardia XL® (Pfizer, Inc .; 30 mg).
La figura 4 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas farmacéuticas de la invención que contienen las formulaciones 2B (47 mg); 2C (47 mg); y 2D (47 mg) tal como se muestra en la tabla 2, en comparación con Procardia XL® (Pfizer, Inc.; 30 mg).Figure 4 schematically shows both percent of nifedipine released by pharmaceutical forms of the invention containing formulations 2B (47 mg); 2C (47 mg); Y 2D (47 mg) as shown in table 2, compared to Procardia XL® (Pfizer, Inc .; 30 mg).
La figura 5 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas farmacéuticas de la invención que contienen las formulaciones 3C (30 mg); 3H (30 mg); tal como se muestra en la tabla 3, en comparación con Procardia XL® (Pfizer, Inc.; 30 mg).Figure 5 schematically shows both percent of nifedipine released by pharmaceutical forms of the invention containing the 3C formulations (30 mg); 3H (30 mg); as shown in table 3, compared to Procardia XL® (Pfizer, Inc .; 30 mg).
La figura 6 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas de la invención que contienen las formulaciones 4H (30 mg); 4C (90 mg); tal como se muestra en la tabla 4, en comparación con Procardia XL® (Pfizer, Inc.; 30 mg).Figure 6 schematically shows both percent of nifedipine released by forms of the invention that contain the formulations 4H (30 mg); 4C (90 mg); as it shown in table 4, compared to Procardia XL® (Pfizer, Inc .; 30 mg)
La figura 7 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas de la invención que contienen las formulaciones 5G (60 mg); 5H (60 mg); tal como se muestra en la tabla 5, en comparación con Procardia XL® (Pfizer, Inc.; 60 mg).Figure 7 schematically shows both percent of nifedipine released by forms of the invention that contain the 5G formulations (60 mg); 5H (60 mg); as it shown in table 5, compared to Procardia XL® (Pfizer, Inc .; 60 mg)
La figura 8 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas de la invención que contienen las formulaciones 6E (60 mg); 6F (60 mg); tal como se muestra en la tabla 6, en comparación con Procardia XL® (Pfizer, Inc., Nueva York; 60 mg).Figure 8 schematically shows both percent of nifedipine released by forms of the invention that contain the formulations 6E (60 mg); 6F (60 mg); as it shown in table 6, compared to Procardia XL® (Pfizer, Inc., New York; 60 mg)
La figura 9 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas de la invención que contienen la formulación 6F (60 mg) con un recubrimiento sellado de etilcelulosa al 1% tal como se muestra en la tabla 6, en comparación con Procardia XL® (Pfizer, Inc., Nueva York; 60 mg).Figure 9 schematically shows both percent of nifedipine released by forms of the invention that contain the 6F formulation (60 mg) with a sealed coating of 1% ethyl cellulose as shown in table 6, in comparison with Procardia XL® (Pfizer, Inc., New York; 60 mg).
Ahora se describirá en más detalle la invención en lo que respecta a las numerosas realizaciones y ejemplos que respaldan la misma.The invention will now be described in more detail. in regards to the numerous embodiments and examples that They support it.
La pared semipermeable del sistema osmótico de administración elemental se compone de un material polimérico proyectado o pulverizado sobre el comprimido para dar un peso de recubrimiento del 2 - 15%. Un ejemplo de un material polimérico, incluye, pero no se limita a, acetato de celulosa. El uso de tal material polimérico requiere plastificantes para una mayor flexibilidad, durabilidad y estabilidad. En el caso del acetato de celulosa, ejemplos de plastificantes adecuados son citrato de trietilo (TEC), propilenglicol (PG), una mezcla de TEC y PG en razones que oscilan desde el 25% de TEC más el 75% de PG hasta el 75% de TEC más el 25% de PG, Tween 80 u otros ésteres de polioxietilensorbitano, triacetina, ftalato de dietilo, polietilenglicol, aceite mineral, sebacato de tributilo, y glicerol. Se incluyen los plastificantes como una razón en peso de acetato de celulosa adecuada para que se cree una pared semipermeable para lograr una retención de la sustancia bioactiva mientras que se permite la permeación de agua hacia el núcleo del comprimido.The semipermeable wall of the osmotic system of elemental administration consists of a polymeric material sprayed or sprayed on the tablet to give a weight of 2 - 15% coating. An example of a polymeric material, includes, but is not limited to, cellulose acetate. The use of such polymeric material requires plasticizers for greater flexibility, durability and stability. In the case of acetate cellulose, examples of suitable plasticizers are citrate of triethyl (TEC), propylene glycol (PG), a mixture of TEC and PG in ratios ranging from 25% of TEC plus 75% of PG up to 75% ECT plus 25% PG, Tween 80 or other esters of polyoxyethylene sorbitan, triacetin, diethyl phthalate, polyethylene glycol, mineral oil, tributyl sebacate, and glycerol. Plasticizers are included as a weight ratio of acetate cellulose suitable for creating a semipermeable wall for achieve retention of the bioactive substance while It allows the permeation of water to the tablet core.
La pared semipermeable del comprimido puede contener al menos un conducto que comunica el contenido del núcleo con el exterior del dispositivo, administrando el fármaco beneficioso a través de los conductos del dispositivo osmótico elemental. El tamaño de un conducto individual puede oscilar desde 100 micras hasta 1.000 micras, más preferido de 300 a 900 micras, lo más preferido de 500 a 850 micras. Pueden estar presentes una o múltiples conductos para comunicar el contenido con el exterior del comprimido.The semipermeable tablet wall can contain at least one conduit that communicates the core content with the outside of the device, administering the drug beneficial through the ducts of the osmotic device elementary. The size of an individual duct can range from 100 microns to 1,000 microns, more preferred from 300 to 900 microns, what more preferred from 500 to 850 microns. They may be present one or multiple channels to communicate the content with the outside of the compressed.
Se incluye un agente de efecto mecha, definido como cualquier material con la capacidad de extraer agua hacia la red porosa de un dispositivo de administración en el núcleo de este tipo de formulación de comprimido. Un agente de efecto mecha puede hacer esto con o sin hinchamiento, pero los utilizados en la presente invención son agentes de efecto mecha no hinchables. Algunos materiales pueden tanto drenar agua como hincharse, otros funcionan sólo como agentes de efecto mecha. Los agentes de efecto mecha se caracterizan por poder experimentar fisisorción con agua. La fisisorción se define como una forma de adsorción en la que las moléculas de disolvente pueden adherirse de forma poco rígida a las superficies del agente de efecto mecha a través de interacciones de van der Waals entre la superficie del agente de efecto mecha y la molécula adsorbida. En el caso de un dispositivo de administración de fármaco, la molécula adsorbida es principalmente agua u otro fluido biológico que se compone principalmente de agua. Un agente de efecto mecha que atrae agua tendrá en última instancia un volumen que se compone esencialmente del volumen del agente de efecto mecha y el volumen de agua atraída hacia él. Un material que se hincha tendrá un volumen que se compone esencialmente del volumen del agente de efecto mecha/hinchable, el volumen de agua atraída hacia él, y un volumen adicional creado por fuerzas estéricas y moleculares.A mecha effect agent, defined, is included like any material with the ability to extract water to the porous network of a management device in the core of this type of tablet formulation. A wicking agent can do this with or without swelling, but those used in the The present invention are non-inflatable wicks. Some materials can both drain water and swell, others They work only as wicking agents. Effect agents Wick are characterized by being able to experience fisisorción with water. Fisisorción is defined as a form of adsorption in which the Solvent molecules can adhere very rigidly to the wicking agent surfaces through interactions of van der Waals between the surface of the wick effect agent and the adsorbed molecule. In the case of a management device of drug, the adsorbed molecule is mainly water or other biological fluid that is mainly composed of water. An agent of wick effect that attracts water will ultimately have a volume which is essentially composed of the volume of the wicking agent and the volume of water attracted to him. A material that swells will have a volume that is essentially composed of the volume of the wick / inflatable effect agent, the volume of water attracted towards him, and an additional volume created by steric forces and molecular.
El agente de efecto mecha incluido en las formulaciones descritas en esta invención crea canales o poros en el núcleo del comprimido. Esto facilita la canalización de moléculas de agua a través del núcleo del comprimido mediante fisisorción. La función del agente de efecto mecha es transportar agua hacia superficies dentro del núcleo del comprimido, creando así canales o una red de área superficial aumentada. Para los fines de esta invención, estos agentes de efecto mecha no se hinchan en ningún grado apreciable. Para agentes bioactivos con baja solubilidad en agua, el agente de efecto mecha ayuda en la administración del agente bioactivo parcialmente solubilizado a través del conducto en el recubrimiento semipermeable. Los materiales adecuados para actuar como agentes de efecto mecha incluyen, pero no se limitan a, dióxido coloidal de silicio, caolín, dióxido de titanio, dióxido de silicio pirogénico, alúmina, niacinamida, laurilsulfato sódico, polivinilpirrolidona de bajo peso molecular, M-Pyrol, bentonita, silicato de aluminio y magnesio, poliéster, polietileno. Materiales particularmente adecuados para el fin de esta invención incluye el agente de efecto mecha no hinchable, ejemplos del cual son laurilsulfato sódico, dióxido de silicio coloidal, y polivinilpirrolidona de bajo peso molecular.The wick effect agent included in the Formulations described in this invention create channels or pores in the tablet core This facilitates the channeling of molecules from water through the tablet core by fisisorción. The function of the wicking agent is to transport water to surfaces inside the tablet core, creating channels or an increased surface area network. For the purposes of this invention, these wicking agents do not swell in any appreciable grade. For bioactive agents with low solubility in water, the wicking agent helps in the administration of partially solubilized bioactive agent through the conduit in The semipermeable coating. The right materials to act as wicking agents include, but are not limited to, dioxide colloidal silicon, kaolin, titanium dioxide, silicon dioxide pyrogenic, alumina, niacinamide, sodium lauryl sulfate, low molecular weight polyvinylpyrrolidone, M-Pyrol, bentonite, magnesium aluminum silicate, Polyester, polyethylene Materials particularly suitable for purpose of this invention includes the wick effect agent no inflatable, examples of which are sodium lauryl sulfate, colloidal silicon, and low molecular weight polyvinylpyrrolidone.
Los agentes solubilizantes no hinchables preferidos incluyen (i) agentes que inhiben la formación cristalina del producto farmacéutico o si no que actúan mediante complejación con el mismo; (ii) un tensioactivo formador de micelas de HLB (balance hidrófilo-lipófilo) elevado, particularmente tensioactivos aniónicos; (iii) ésteres de citrato; y combinaciones de los mismos, particularmente combinaciones de agentes de complejación con tensioactivos aniónicos. Ejemplos de los agentes que inhiben la formación cristalina del producto farmacéutico o si no que actúan mediante complejación con el mismo incluye polivinilpirrolidona, polietilenglicol (particularmente PEG 8000), ciclodextrinas \alpha, \beta, y \delta y otras ciclodextrinas modificadas. Ejemplos de tensioactivos formadores de micelas de HLB elevado incluye tensioactivos no iónicos y/o aniónicos, tales como Tween 20, Tween 60 o Tween 80; tensioactivos que contienen polioxietileno o polietileno, u otros tensioactivos aniónicos de cadena larga, particularmente lauril sulfato sódico. Ejemplos de derivados de éster de citrato que se prefieren son los ésteres de alquilo, particularmente citrato de trietilo. Son especialmente efectivas combinaciones de estos tipos de agentes solubilizantes no hinchables. Preferidos entre tales tipos de combinaciones son combinaciones de agentes de complejación y tensioactivos aniónicos. Son ejemplos particularmente preferidos de tales combinaciones polivinilpirrolidona con laurilsulfato sódico y polietilenglicol con laurilsulfato sódico.The non-swelling solubilizing agents Preferred include (i) agents that inhibit crystalline formation of the pharmaceutical product or else acting through complexation with the same; (ii) an HLB micelle forming surfactant (hydrophilic-lipophilic balance) elevated, particularly anionic surfactants; (iii) citrate esters; Y combinations thereof, particularly combinations of complexing agents with anionic surfactants. Examples of agents that inhibit the crystalline formation of the product pharmacist or else they act by complexing with it includes polyvinyl pyrrolidone, polyethylene glycol (particularly PEG 8000), cyclodextrins?,?, And? And others modified cyclodextrins. Examples of surfactants forming raised HLB micelles include nonionic surfactants and / or anionics, such as Tween 20, Tween 60 or Tween 80; surfactants containing polyoxyethylene or polyethylene, or other surfactants long chain anionics, particularly sodium lauryl sulfate. Examples of citrate ester derivatives that are preferred are those alkyl esters, particularly triethyl citrate. They are especially effective combinations of these types of agents non-inflatable solubilizers. Preferred among such types of combinations are combinations of complexing agents and anionic surfactants. They are particularly preferred examples of such combinations polyvinylpyrrolidone with sodium lauryl sulfate and polyethylene glycol with sodium lauryl sulfate.
También se añaden lubricantes para garantizar una preparación de comprimidos apropiada, y estos pueden incluir, pero no se limitan a: estearato de magnesio, estearato de calcio, ácido esteárico, polietilenglicol, leucina, behenato de glicerilo, y aceite vegetal hidrogenado. Estos lubricantes deben estar presentes en cantidades desde 0,1 - 10% (p/p), con un intervalo preferido de 0,3 - 3,0% (p/p).Lubricants are also added to ensure a proper tablet preparation, and these may include, but Not limited to: magnesium stearate, calcium stearate, acid stearic, polyethylene glycol, leucine, glyceryl behenate, and hydrogenated vegetable oil. These lubricants must be present in amounts from 0.1-10% (w / w), with a preferred range of 0.3 - 3.0% (w / w).
Los lubricantes preferidos para la preparación de comprimidos incluyen pero no se limitan a estearilfumarato de sodio, estearato de magnesio, estearato de calcio, estearato de zinc, ácido esteárico, behenato de glicerol, lauril sulfato sódico, polietilenglicol y aceite vegetal hidrogenado. Son lubricantes particularmente preferidos los que son solubles en agua o fluidos gástricos o se emulsionan fácilmente. Son especialmente efectivas las combinaciones de lubricantes. Las combinaciones de lubricantes que se prefieren son una pequeña cantidad de lubricante hidrófobo con una cantidad mayor de lubricante soluble o emulsionable. La tasa de utilización para lubricantes se extiende desde 0,25 al 10,0% con un intervalo preferido del 1 al 4%.Preferred lubricants for the preparation of Tablets include but are not limited to sodium stearyl fumarate, magnesium stearate, calcium stearate, zinc stearate, acid stearic, glycerol behenate, sodium lauryl sulfate, polyethylene glycol and hydrogenated vegetable oil. They are lubricants particularly preferred are those that are soluble in water or fluids gastric or easily emulsified. They are especially effective. combinations of lubricants. Lubricant combinations which are preferred are a small amount of hydrophobic lubricant with a greater amount of soluble or emulsifiable lubricant. Rate of use for lubricants ranges from 0.25 to 10.0% with a preferred range of 1 to 4%.
Puede utilizarse el sistema de administración de la invención para proporcionar una liberación controlada de cualquiera de una gran variedad de agentes terapéuticamente activos. Ejemplos incluyen los siguientes: antitusivos, tales como bromhidrato de dextrometorfano y codeína; antihistamínicos tales como maleato de clorfeniramina, maleato de bromfeniramina, loratidina, astemizol, diclofenaco sódico y terfenadina; descongestionantes tales como pseudoefedrina y fenilefrina; antihipertensores tales como nifedipino, verapamilo, enalaprilo y sales del mismo, metoprolol, succinato de metoprolol, fumarato de metoprolol, tartarato de metoprolol; bloqueantes de canales de calcio tales como verapamilo, diltiazem, nifedipino, nimodipino, felodipino, nicardipino, isradipino y amlodipino; agentes antidiabéticos tales como glipizida e ibromectina; inhibidores de bomba de protones tales como omeprazol; antagonistas del receptor H2 tales como cimetidina, ranitidina, famotidina, nizatidina; carbamazepina; agentes contra el Parkinson tales como selegilina, carbidopa/levodopa, pergolida, bromocriptina, amantadina, trihexifenidilo HCl; agentes antivirales que incluyen agentes contra los herpesvirus tales como aciclovir, famciclovir, foscarnet, ganciclovir; agentes antirretrovirales tales como didanosina, estavudina, zalcitabina, zidovudina; y otros tales como amantadina, interferón alfa, ribavirina, rimantadina; y otros agentes terapéuticos tales como cimetidina, propiomazina, fenitoína, tacrina, propiazam, proplazam. El sistema de la presente invención es particularmente aplicable a agentes terapéuticos que son insolubles o poco solubles en agua o medios acuosos a pH fisiológico.The administration system of the invention to provide a controlled release of any of a wide variety of therapeutically active agents. Examples include the following: antitussives, such as dextromethorphan hydrobromide and codeine; antihistamines such such as chlorpheniramine maleate, brompheniramine maleate, loratidine, astemizole, diclofenac sodium and terfenadine; decongestants such as pseudoephedrine and phenylephrine; antihypertensors such as nifedipine, verapamil, enalapril and salts thereof, metoprolol, metoprolol succinate, fumarate metoprolol, metoprolol tartarate; channel blockers of calcium such as verapamil, diltiazem, nifedipine, nimodipine, felodipine, nicardipine, isradipine and amlodipine; agents antidiabetics such as glipizide and ibromectin; inhibitors of proton pump such as omeprazole; H2 receptor antagonists such as cimetidine, ranitidine, famotidine, nizatidine; carbamazepine; Parkinson's agents such as selegiline, carbidopa / levodopa, pergolide, bromocriptine, amantadine, trihexyphenyl HCl; antiviral agents that include agents against herpesviruses such as acyclovir, famciclovir, foscarnet, ganciclovir; antiretroviral agents such as didanosine, stavudine, zalcitabine, zidovudine; and others such as amantadine, interferon alfa, ribavirin, rimantadine; and other agents therapeutic such as cimetidine, propiomazine, phenytoin, Tacrine, propolis, proplazam. The system of the present invention It is particularly applicable to therapeutic agents that are insoluble or poorly soluble in water or aqueous media at pH physiological.
En una realización preferida, se emplea el sistema de la presente invención para dispensar nifedipino. En tal realización preferida, la composición está libre de agentes que evitan la solubilización del nifedipino tal como metales del grupo I y grupo II y sales de los mismos. En tales composiciones los agentes osmóticos preferidos son azúcares.In a preferred embodiment, the system of the present invention for dispensing nifedipine. In that preferred embodiment, the composition is free of agents that prevent solubilization of nifedipine such as group I metals and group II and salts thereof. In such compositions the agents Preferred osmotic are sugars.
Se añade (TEC) u otro agente humectante adecuado a agua suficiente para producir una buena dispersión que se atomizará y bombeará bien. Añadir entre un 50 a un 100% del PEG 8000. A continuación añadir entre un 50 a un 100% del nifedipino a la dispersión. Finalmente añadir entre un 25 a un 75% del Cab-o-Sil® a la dispersión aglutinante. Mezclar durante \sim 20 minutos antes de pulverizar. También, pueden añadirse o eliminarse otros componentes de la dispersión según sea necesario. Tampoco es necesaria una dispersión, el aglutinante puede ser una disolución de PVP, PEG, azúcar u otro aglutinante. La disolución puede ser acuosa u orgánica. En algunos casos, puede preferirse un método de granulación de fusión en caliente. En este caso, el aglutinante puede ser una cera fundida, una mezcla de cera u otro material.(TEC) or other suitable wetting agent is added to enough water to produce a good dispersion that It will atomize and pump well. Add between 50 to 100% of the PEG 8000. Next, add 50 to 100% of the nifedipine to the dispersion Finally add between 25 to 75% of the Cab-o-Sil® dispersion binder. Mix for ~ 20 minutes before spraying. Also, other components of the dispersion as necessary. Nor is a dispersion necessary, The binder can be a solution of PVP, PEG, sugar or other binder. The solution may be aqueous or organic. In some cases, a fusion granulation method may be preferred in hot. In this case, the binder can be a molten wax, a mixture of wax or other material.
Cargar una cuba de lecho fluido con agentes osmóticos (xilitol, sorbitol, lactosa, fructosa, inositol, etc.). Añadir entre un 50 a un 100% de SLS, añadir el resto de PEG 8000, y añadir entre un 50 - 100% del PVP K-25, añadir todo o la cantidad restante de nifedipino y otros componentes según se requiera.Load a fluid bed tank with agents osmotic (xylitol, sorbitol, lactose, fructose, inositol, etc.). Add between 50 to 100% SLS, add the rest of PEG 8000, and add between 50 - 100% of the K-25 PVP, add all or the remaining amount of nifedipine and other components as require.
Pulverizar la dispersión sobre el lecho en polvo con una velocidad de pulverización de 20 - 50 g/min que producirá gránulos de un tamaño adecuado para la preparación de comprimidos. (La tasa de pulverización variará con el tamaño de lote). Se ajustan la velocidad de flujo de aire de entrada y la temperatura para evitar que el lecho en polvo se granule en exceso o se vuelva demasiado húmedo. (Intervalo habitual de 100 - 250 MCH y 40 - 60ºC, dependiendo del tamaño del lote).Spray the dispersion on the powder bed with a spray speed of 20 - 50 g / min that will produce granules of a suitable size for the preparation of tablets. (The spray rate will vary with the lot size). They adjust the inlet air flow rate and temperature for prevent the powder bed from becoming excessively granulated or becoming too wet (Normal range of 100 - 250 MCH and 40 - 60ºC, depending on the lot size).
Verter la granulación y añadir laurilsulfato sódico (SLS), polivinilpirrolidona (PVP K-25), osmoagentes, polietilenglicol (PEG), nifedipino y Cab-o-Sil® (dióxido de silicio coloidal; Cabot Corporation) restantes y mezclar en una máquina mezcladora en V o una mezcladora apropiada durante 2 - 5 minutos o lo que sea necesario. Añadir un lubricante adecuado tal como estearato de magnesio (aproximadamente 0,5 - 1,5%) y combinar durante 2 - 5 minutos o lo que sea necesario.Pour the granulation and add lauryl sulfate sodium (SLS), polyvinylpyrrolidone (PVP K-25), osmoagents, polyethylene glycol (PEG), nifedipine and Cab-o-Sil® (silicon dioxide colloidal; Cabot Corporation) remaining and mix in a machine V mixer or an appropriate mixer for 2-5 minutes or whatever is needed. Add a suitable lubricant such as magnesium stearate (approximately 0.5 - 1.5%) and combine for 2 - 5 minutes or whatever is necessary.
Verter la combinación final desde la mezcladora y
preparar comprimidos en una prensa de preparación de comprimidos
adecuada. Recubrir los comprimidos en recubridora de bandeja o una
secadora de lecho fluido con una velocidad de pulverización de 30 -
100 g/min o superior (dependiendo del tamaño del lote). Se prepara
la disolución de recubrimiento disolviendo acetato de celulosa al
5%, FN (Formulario Nacional) en acetona u otro disolvente adecuado y
añadiendo luego el 25 - 45% de plastificantes tales como TEC o PG o
una mezcla de los
mismos.Pour the final combination from the mixer and prepare tablets in a suitable tablet preparation press. Coat the tablets in a tray coater or a fluid bed dryer with a spray rate of 30-100 g / min or more (depending on the batch size). The coating solution is prepared by dissolving 5% cellulose acetate, FN (National Form) in acetone or other suitable solvent and then adding 25-45% plasticizers such as TEC or PG or a mixture of the
same.
También puede realizarse el procedimiento mediante compresión directa, granulación de alta cizalladura, compresión seca o agitación.The procedure can also be performed. by direct compression, high shear granulation, dry compression or agitation.
En algunos casos también puede ser deseable modificar las características de solubilidad de los osmoagentes, solubilizantes, de granulación u otro componente para lograr un perfil de liberación deseado.In some cases it may also be desirable modify the solubility characteristics of osmoagents, solubilizers, granulation or other components to achieve desired release profile.
Un método para modificar el perfil de liberación
es utilizar un método de recubrimiento hidrófobo. Inicialmente,
podrían granularse juntos todos los componentes con un 0 - 20% de
PVP K25 o PEG 8000 u otra disolución aglutinante acuosa u orgánica
para garantizar que se distribuyen uniformemente el fármaco, los
azúcares, y solubilizantes en todos los gránulos. Tras este
procedimiento, podría aplicarse un agente de recubrimiento tal como
aceite de ricino hidrogenado, aceite vegetal hidrogenado, tipo I,
etilcelulosa, monoestearato de glicerilo, Gelucire® o cera de
carnauba al 1 - 20% del peso total de la formulación al 5 - 50% de
la granulación total. Puede aplicarse el agente de recubrimiento en
un lecho fluido mediante pulverización superior, recubrimiento en
columna de Wurster, o aplicación con rotor; también puede utilizarse
una recubridora de bandeja equipada con un tamiz para gránulos de
recubrimiento. Podría aplicarse el agente hidrófobo en un estado
fundido o disuelto en un disolvente adecuado en el que se
pulverizaría sobre los gránulos. Entonces podrían combinarse
perfectamente ambas partes de la granulación, de liberación
inmediata y sostenida, usando una máquina mezcladora en V antes de
la preparación de com-
primidos.One method of modifying the release profile is to use a hydrophobic coating method. Initially, all components could be granulated together with 0-20% of PVP K25 or PEG 8000 or other aqueous or organic binder solution to ensure that the drug, sugars, and solubilizers are evenly distributed in all granules. Following this procedure, a coating agent such as hydrogenated castor oil, hydrogenated vegetable oil, type I, ethyl cellulose, glyceryl monostearate, Gelucire® or carnauba wax at 1-20% of the total weight of the formulation at 5 - could be applied 50% of the total granulation. The coating agent can be applied in a fluid bed by top spray, Wurster column coating, or rotor application; a tray coater equipped with a sieve for coating granules can also be used. The hydrophobic agent could be applied in a molten state or dissolved in a suitable solvent in which it would be sprayed onto the granules. Then both parts of the granulation, immediate and sustained release, could be perfectly combined, using a V-mixing machine before the preparation of
cousins
Como alternativa, puede aplicarse el método presentado anteriormente a un componente o combinación de componentes de la formulación. Pueden granularse uno o más osmoagentes solos o en combinación con otros osmoagentes, solubilizantes u otros componentes del núcleo. Entonces, pueden recubrirse estos gránulos solos o en combinación con cualquier otro componente del núcleo con los materiales y métodos descritos anteriormente. Entonces pueden añadirse los gránulos recubiertos al resto de la formulación mediante combinación seca, o, en realidad, pueden granularse con el resto de la formulación.As an alternative, the method can be applied previously submitted to a component or combination of formulation components One or more can be granulated osmoagents alone or in combination with other osmoagents, solubilizers or other core components. So they can coat these granules alone or in combination with any other core component with the materials and methods described previously. Then the coated granules can be added to the rest of the formulation by dry combination, or, actually, can be granulated with the rest of the formulation.
Como alternativa, puede utilizarse un método de granulación hidrófoba. En este método se mezcla cera en polvo junto con la parte de la granulación que va a recubrirse (en los mismos intervalos de porcentaje ya indicados). Puede utilizarse cera no en polvo moliendo la cera hasta un tamaño de partícula fino. Pueden formarse mezclas de cera fundiendo la cera, añadiendo el componente deseado, permitiendo que la mezcla se espese y tamizando o moliendo la mezcla de cera hasta un tamaño de partícula fino. Entonces se añade la cera en polvo o la mezcla de cera al lecho fluido con la parte de la granulación que va a recubrirse. Se granulan los materiales aumentando y controlando las temperaturas de entrada del lecho fluido (temperatura de entrada \sim 60 - 80ºC, temperatura de salida \sim 40 - 60ºC), para provocar las etapas de fusión/espesamiento implicadas en el procedimiento de granulación. En otros ejemplos podría utilizarse para granular un dispositivo con camisa calefactora. Aquí, sin embargo, los intervalos de temperatura se aplicarían a la sustancia utilizada en el calentamiento y enfriamiento del dispositivo, tal como vapor, agua o aceite caliente.Alternatively, a method of hydrophobic granulation In this method powder wax is mixed together with the part of the granulation to be coated (in them percentage intervals already indicated). Wax can be used not in powder by grinding the wax to a fine particle size. They can wax mixtures are formed by melting the wax, adding the component desired, allowing the mixture to thicken and sift or grind the wax mixture to a fine particle size. Then add the powdered wax or the wax mixture to the fluid bed with the part of the granulation to be coated. The granules are granulated materials increasing and controlling the inlet temperatures of the fluid bed (inlet temperature ~ 60-80 ° C, temperature output ~ 40-60 ° C), to cause the stages of fusion / thickening involved in the granulation process. In other examples it could be used to granulate a device with heating shirt. Here, however, the temperature ranges would apply to the substance used in the heating and cooling of the device, such as steam, water or oil hot.
Para agentes de liberación sostenida que no son ceras, puede llevarse a cabo el procedimiento de granulación utilizando técnicas de granulación habituales tales como granulación por vía húmeda acuosa o granulación con disolvente (en los mismos intervalos de porcentaje ya indicados). Puede disolverse o suspenderse el agente de liberación sostenida en el fluido de granulación o puede dispersarse con los polvos que van a granularse. Se forman y se secan los gránulos y finalmente se añaden al resto de la formulación.For sustained release agents that are not waxes, the granulation procedure can be carried out using usual granulation techniques such as granulation aqueous wet or solvent granulation (in them percentage intervals already indicated). It can dissolve or the sustained release agent be suspended in the fluid of granulation or can be dispersed with the powders to be granulated. The granules are formed and dried and finally added to the rest of the formulation
De nuevo, pueden aplicarse las técnicas de granulación anteriores a una parte de la formulación completa o a cualquier componente o mezcla de componentes en la formulación. Entonces pueden combinarse los gránulos de liberación sostenida con el resto de la formulación mediante técnicas previamente tratadas.Again, the techniques of granulation prior to a part of the entire formulation or to any component or mixture of components in the formulation. Then the sustained release granules can be combined with the rest of the formulation using techniques previously treated.
Finalmente, puede utilizarse una técnica de matriz. Esta técnica implica añadir una cera en polvo al 5 - 30% del peso de la formulación total, tal como aceite de ricino hidrogenado, palmitoestearato de glicerilo, behenato de glicerilo, Gelucire®, PEG 8000 o cualquier otro agente formador de matriz no hinchable conocido por alguien experto en la técnica a la formulación. Puede granularse la cera con cualquier componente o combinación de componentes de la formulación con un 0 - 20% de PVP K25 o PEG 8000 u otra disolución aglutinante, o puede utilizarse un método de compactación en rodillo o de agitación en la formación de los gránulos. Entonces se añaden los gránulos al resto de la formulación utilizando lo métodos indicados antes.Finally, a technique of matrix. This technique involves adding a 5-30% powder wax. Total formulation weight, such as hydrogenated castor oil, Glyceryl Palmitoestearate, Glyceryl Behenate, Gelucire®, PEG 8000 or any other non-inflatable matrix forming agent known by someone skilled in the art to formulation. May granulate the wax with any component or combination of Components of the formulation with 0-20% PVP K25 or PEG 8000 u another binder solution, or a method of roller compaction or agitation in the formation of granules Then the granules are added to the rest of the formulation using the methods indicated above.
Entonces, pueden prepararse en comprimidos los osmoagentes, los solubilizantes o los agentes de granulación de liberación modificada, tras la adición de un lubricante adecuado. Un comprimido de capa única tiene todos los componentes de la formulación combinados juntos y comprimidos. Pueden proporcionarse uno o más orificios para dar una liberación adecuada. Pueden proporcionarse uno o más orificios en el comprimido. Puede ser beneficioso para un comprimido el tener un orificio en ambos lados del comprimido de manera que se logre una velocidad de liberación óptima. Pueden proporcionarse uno o más orificios para lograr las características de liberación deseadas.Then, the tablets can be prepared in tablets osmoagents, solubilizers or granulation agents of modified release, after the addition of a suitable lubricant. A single layer tablet has all the components of the formulation combined together and tablets. Can be provided one or more holes to give adequate release. They can provide one or more holes in the tablet. Can be it is beneficial for a tablet to have a hole on both sides of the tablet so that a release rate is achieved optimal One or more holes may be provided to achieve the desired release characteristics.
Es posible que cualquiera de los excipientes discutidos previamente en combinación con el núcleo del comprimido pueda disminuir el punto de fusión. Las temperaturas a las que se debe exponer el comprimido en un procedimiento de recubrimiento de color acuoso pueden ser lo suficientemente extremas (\sim60º) como para fundir parcialmente el núcleo y cambiar el comportamiento físico químico del comprimido en disolución o la estabilidad. Para evitar este cambio, se formuló un recubrimiento de color a base de disolvente en Shire Laboratorios Inc., que consiste en una mezcla 1:1 de hidroxipropilcelulosa y HPMC, y un 1% de una laca de aluminio coloreado dispersa en una disolución 70:30 de IPA:agua. Debido a que el recubrimiento de color se basa en disolvente, la temperatura a la que se expondrán los comprimidos en el procedimiento de recubrimiento es significativamente inferior (\sim35-40ºC).It is possible that any of the excipients discussed previously in combination with the tablet core may decrease the melting point. The temperatures at which you should expose the tablet in a coating procedure of aqueous color can be extreme enough (\60 °) as to partially melt the core and change the behavior Chemical physical of the tablet in solution or stability. For avoid this change, a color coating based on solvent at Shire Laboratories Inc., which consists of a mixture 1: 1 hydroxypropylcellulose and HPMC, and 1% of an aluminum lacquer colored dispersed in a 70:30 solution of IPA: water. Because The color coating is based on solvent, the temperature at that the tablets will be exposed in the procedure of coating is significantly lower (~ 35-40 ° C).
Puede ser beneficioso un retraso de una a dos horas antes del comienzo de la disolución. Con el fin de proporcionar este lapso de tiempo puede añadirse un recubrimiento sellado al comprimido. El recubrimiento sellado debe proporcionar una barrera impermeable al agua durante no más de dos horas. Algunos polímeros proporcionarían este tipo de recubrimiento incluyen etilcelulosa, goma laca, Eudragit RS. Pueden añadirse otros componentes a los polímeros con el fin de modificar el recubrimiento para lograr el lapso de tiempo deseado. Debe aplicarse una ganancia de peso de 1 - 10% a los comprimidos. Se aplica el recubrimiento como una disolución acuosa o de disolvente orgánico o una dispersión. Normalmente, se aplica el recubrimiento en una bandeja de recubrimiento o un lecho fluido equipado con una columna Wurster.A delay of one to two may be beneficial hours before the start of dissolution. With the purpose of provide this time span a coating can be added sealed to the tablet. The sealed coating must provide a waterproof barrier for no more than two hours. Some polymers would provide this type of coating include ethyl cellulose, shellac, Eudragit RS. Others can be added components to the polymers in order to modify the coating to achieve the desired time span. A profit must be applied 1 - 10% weight to tablets. The coating is applied as an aqueous or organic solvent solution or a dispersion. Normally, the coating is applied on a tray cover or a fluid bed equipped with a column Wurster
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Los siguientes son ejemplos de formulaciones de la composición única homogénea dentro de la pared del comprimido de la forma farmacéutica de la invención.The following are examples of formulations of the unique homogeneous composition within the tablet wall of the pharmaceutical form of the invention.
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Este ejemplo informa de experimentos que compararon el porcentaje de nifedipino liberado por algunas de las formulaciones anteriores en formas de administración de dosis de la invención en comparación con Procardia XL® (Pfizer, Inc.; 30 mg).This example reports experiments that they compared the percentage of nifedipine released by some of the previous formulations in dosage administration forms of the invention compared to Procardia XL® (Pfizer, Inc .; 30 mg)
Se colocan formas de administración de dosis de la invención en un aparato de disolución de Vankel que contiene fluido gástrico sintético sin enzimas y se someten a disolución durante 20 a 24 horas. Periódicamente se tomas muestras del medio de disolución y se analiza la concentración de nifedipino mediante cromatografía de líquidos de alta resolución. Se representó la liberación calculada en tanto por ciento frente al tiempo. Las formas de administración de dosis de la invención y los comprimidos de procardia XL se evaluaron de la misma manera para producir comparaciones efectivas.Dosage administration forms of the invention in a Vankel dissolution apparatus containing synthetic gastric fluid without enzymes and undergo dissolution for 20 to 24 hours. Samples are periodically taken from the medium of solution and the concentration of nifedipine is analyzed by High performance liquid chromatography. The release calculated as a percentage against time. The dosage administration forms of the invention and tablets of procardia XL were evaluated in the same way to produce effective comparisons
La figura 3 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas farmacéuticas de la invención que contienen las formulaciones 1G (30 mg); 1C (30 mg); tal como se muestra en la tabla 1 en comparación con Procardia XL® (Pfizer, Inc.; 30 mg).Figure 3 schematically shows both percent of nifedipine released by pharmaceutical forms of the invention containing the 1G formulations (30 mg); 1C (30 mg); as shown in table 1 compared to Procardia XL® (Pfizer, Inc .; 30 mg).
La figura 4 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas farmacéuticas de la invención que contienen las formulaciones 2B (47 mg); 2C (47 mg); y 2D (47 mg) tal como se muestra en la tabla 2 en comparación con Procardia XL® (Pfizer, Inc.; 30 mg).Figure 4 schematically shows both percent of nifedipine released by pharmaceutical forms of the invention containing formulations 2B (47 mg); 2C (47 mg); Y 2D (47 mg) as shown in table 2 compared to Procardia XL® (Pfizer, Inc .; 30 mg).
La figura 5 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas farmacéuticas de la invención que contienen las formulaciones 3C (30 mg); 3H (30 mg); tal como se muestra en la tabla 3 en comparación con Procardia XL® (Pfizer, Inc.; 30 mg).Figure 5 schematically shows both percent of nifedipine released by pharmaceutical forms of the invention containing the 3C formulations (30 mg); 3H (30 mg); as shown in table 3 compared to Procardia XL® (Pfizer, Inc .; 30 mg).
La figura 6 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas de la invención que contienen las formulaciones 4H (30 mg); 4C (90 mg); tal como se muestra en la tabla 4 en comparación con Procardia XL® (Pfizer, Inc.; 30 mg).Figure 6 schematically shows both percent of nifedipine released by forms of the invention that contain the formulations 4H (30 mg); 4C (90 mg); as it shown in table 4 compared to Procardia XL® (Pfizer, Inc .; 30 mg)
La figura 7 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas de la invención que contienen las formulaciones 5G (60 mg); 5H (60 mg); tal como se muestra en la tabla 5 en comparación con Procardia XL® (Pfizer, Inc.; 60 mg).Figure 7 schematically shows both percent of nifedipine released by forms of the invention that contain the 5G formulations (60 mg); 5H (60 mg); as it shown in table 5 compared to Procardia XL® (Pfizer, Inc .; 60 mg)
La figura 8 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas de la invención que contienen las formulaciones 6E (60 mg); 6F (60 mg); tal como se muestra en la tabla 6 en comparación con Procardia XL® (Pfizer, Inc., Nueva York; 60 mg).Figure 8 schematically shows both percent of nifedipine released by forms of the invention that contain the formulations 6E (60 mg); 6F (60 mg); as it shown in table 6 compared to Procardia XL® (Pfizer, Inc., New York; 60 mg)
La figura 9 muestra esquemáticamente el tanto por ciento de nifedipino liberado mediante formas de la invención que contienen la formulación 6F (60 mg) con un recubrimiento sellado de etilcelulosa al 1% tal como se muestra en la tabla 6 en comparación con Procardia XL® (Pfizer, Inc., Nueva York; 60 mg).Figure 9 schematically shows both percent of nifedipine released by forms of the invention that contain the 6F formulation (60 mg) with a sealed coating of 1% ethyl cellulose as shown in table 6 in comparison with Procardia XL® (Pfizer, Inc., New York; 60 mg).
Claims (19)
pino.8. Pharmaceutical administration system according to claim 7, wherein the pharmaceutical agent is nifedi-
Pine tree.
zida.19. Pharmaceutical administration system according to claim 1, wherein the pharmaceutical agent is glyph
zida
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US2903296P | 1996-10-25 | 1996-10-25 | |
| US29032P | 1996-10-25 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| ES2255103T3 true ES2255103T3 (en) | 2006-06-16 |
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ID=21846864
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| Application Number | Title | Priority Date | Filing Date |
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| ES97912802T Expired - Lifetime ES2255103T3 (en) | 1996-10-25 | 1997-10-22 | OSMOTIC DOSE ADMINISTRATION SYSTEM IN SOLUBLE FORM. |
Country Status (9)
| Country | Link |
|---|---|
| US (2) | US6110498A (en) |
| EP (1) | EP0954291B1 (en) |
| JP (3) | JP4863534B2 (en) |
| AT (1) | ATE314054T1 (en) |
| AU (1) | AU721653B2 (en) |
| CA (1) | CA2269707C (en) |
| DE (1) | DE69735002T2 (en) |
| ES (1) | ES2255103T3 (en) |
| WO (1) | WO1998018452A1 (en) |
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- 1997-10-22 EP EP97912802A patent/EP0954291B1/en not_active Expired - Lifetime
- 1997-10-22 CA CA002269707A patent/CA2269707C/en not_active Expired - Lifetime
- 1997-10-22 US US08/954,947 patent/US6110498A/en not_active Expired - Lifetime
- 1997-10-22 ES ES97912802T patent/ES2255103T3/en not_active Expired - Lifetime
- 1997-10-22 JP JP52055098A patent/JP4863534B2/en not_active Expired - Fee Related
- 1997-10-22 WO PCT/US1997/018912 patent/WO1998018452A1/en not_active Ceased
- 1997-10-22 AU AU49899/97A patent/AU721653B2/en not_active Expired
-
2000
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-
2010
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2011
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Also Published As
| Publication number | Publication date |
|---|---|
| US6110498A (en) | 2000-08-29 |
| CA2269707C (en) | 2005-08-16 |
| JP2012051905A (en) | 2012-03-15 |
| EP0954291B1 (en) | 2005-12-28 |
| AU4989997A (en) | 1998-05-22 |
| DE69735002T2 (en) | 2006-10-26 |
| EP0954291A1 (en) | 1999-11-10 |
| JP4863534B2 (en) | 2012-01-25 |
| ATE314054T1 (en) | 2006-01-15 |
| JP2011016832A (en) | 2011-01-27 |
| WO1998018452A1 (en) | 1998-05-07 |
| EP0954291A4 (en) | 2000-01-05 |
| AU721653B2 (en) | 2000-07-13 |
| DE69735002D1 (en) | 2006-02-02 |
| US6284276B1 (en) | 2001-09-04 |
| JP2001503054A (en) | 2001-03-06 |
| CA2269707A1 (en) | 1998-05-07 |
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